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BP-05-1345BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) le nikr\c4 Owner's Address 1 n E ') t City Pi , State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Vill Is Building Historically Designated YES Contractor's Company Name Contractor's Address City State $ Value of Work For this Permit Type of Work: Describe Work: Code Enforcement $ Total Fee Now Due $ (" (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 4 ',coo P- (. Zip 33 ! 3 &h County Miami -Dade NO ['Addition [Alteration ❑New Structural Plan Review. $ Master Permit No. ( tick \(D\ ig Mechanical R oofing c one # Phone # Phone # Permit No. Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ****************************F * *** ** * * * *F *** * * * * * ** * * ** * * * ** *yo- **** ***** Submittal Fee $ Permit Fee $ 62 67 - - " Notary $ - Training/Education Fee $ © Z0, Scanning $ Radon $ Zoning -, F S ( ©s1S - 3,37k Zip CCF $ CD' 61 - CO /CC. IS 60 ❑air/Rgplace ❑ Demolition Technology Fee $ t Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspe • fee will be charged • j Signature gent Contractor The foregoing instrument was acknowledged before me this 14 The foregoing instrument was acknowledged before me this day of , 20t2 by MAt4C-te NC-C4 day of , 20 by who is person . own to me or who has produced (D who is personally known to me or who has produced NOTARY Sign: Print: My Co ission Expires: APPLICATION APPROVED BY: Chc 05/13/03 As identification and Wlxh ;did t i rea,5 ion ' PUBLIC: Sign: Print: My Commission Expires: ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** bonding co., tne. ? o5 a 3/Or as identification and who did take an oath. Plans Examiner Engineer Zoning PAINT SONORAN SANDS & SIERRA MADRE Passed / Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 01/11/2006 Inspector: Bruhn, Norman Owner: MCCARTHY, NANCY Job Address: 870 97 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Tuesday, December 2, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Q i i."1."11 Phone Number 305 - 758 -3396 Parcel Number 1132060142710 Lot: Page 1 of 2 Date 4 Awnings Chimney Signature Miami Shores Village Paint Color Approval and Agreement r\ #14,c, m c(a..,\14, 4 Owner's Name Owner's Address City 1 • Job Address (where the work is being done) City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # ************************************************************************************************************ All elements on the site must be listed and indicate the color to be painted Walls WO 11 s ( . Fascia VAIWA 3U-K,S N Drip Cap/drip Edge Soffit Roof Flower bins Shutters 50/014 )Avt Doors and door jams Skrahl SiNIDYCI Sut4) Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other ************************************************************************************************************ OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with an applicable laws regulating construction and zonin APPLICATION APPROVED BY: 'g70 State N Phone # 0-6 -A 3 Te, Zip t ZC Date Date 7 / 2- 345 — thC 6/15/0: